Lead Dental Group

NPI #1497136204 in Lombard, Illinois

Provider Information

NPI Number: 1497136204
Entity Type: Organization
Organization Name: Lead Dental Group
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2015
Last Updated: Jun 17, 2015

Practice Location

Address: 18W333 ROOSEVELT RD STE C
City: Lombard
State: Illinois
ZIP Code: 60148-4180
Phone: (630) 832-1500

Authorized Official

Name: DR. SHILPA MAILAPUR, DMD, MSD
Title: MEMBER
Phone: (630) 270-8327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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